K Number
K032692
Device Name
DAKOCYTOMATION BETA-2-MICROGLOBULIN KIT, CODE NO. OA 368
Manufacturer
Date Cleared
2004-01-22

(142 days)

Product Code
Regulation Number
866.5630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For in vitro diagnostic use. DakoCytomation Beta-2-Microglobulin Kit is intended for the quantitative determination of beta-2-microglobulin in human serum and plasma by rate nephelometry on IMMAGE® Immunochemistry Systems. Measurement of beta-2-microglobulin aids in the diagnosis of patients with active rheumatoid arthritis and kidney disease.
Device Description
DakoCytomation Beta-2-Microglobulin Kit is an in vitro diagnostic assay device for the quantitative determination of human beta-2-microglobulin. Beta-2-microglobulin (B2M), a low molecular weight polypeptide of 11,800 daltons, is the light chain component of the major histocompatibility antigen (HLA). B2M is present on the membrane surface of all cells that express major histocompatibility antigens and it is normally present in the circulation as a result of cell membrane turnover. The Beta-2-Microglobulin device is similar in design, materials and intended use to other 510(k) cleared devices, which are in commercial distribution.
More Information

Not Found

No
The 510(k) summary describes a standard in vitro diagnostic assay kit using nephelometry, with no mention of AI or ML in the intended use, device description, or any other section.

No
The device is an in vitro diagnostic (IVD) assay used to measure existing levels of beta-2-microglobulin in human serum and plasma to aid in diagnosis. It does not treat or alleviate a disease, nor does it restore, modify, or correct a body function. Its purpose is solely for diagnostic information.

Yes

The "Intended Use / Indications for Use" section explicitly states "For in vitro diagnostic use" and that the "Measurement of beta-2-microglobulin aids in the diagnosis of patients with active rheumatoid arthritis and kidney disease."

No

The device is an in vitro diagnostic assay kit, which is a collection of reagents and materials used to perform a laboratory test, not a software-only device.

Yes, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section explicitly states: "For in vitro diagnostic use."
  • Nature of the Test: The device is designed to measure a substance (beta-2-microglobulin) in human biological samples (serum and plasma) to aid in the diagnosis of specific medical conditions (rheumatoid arthritis and kidney disease). This is the core function of an in vitro diagnostic device.
  • Device Description: The description further clarifies that it's an "in vitro diagnostic assay device for the quantitative determination of human beta-2-microglobulin."

Therefore, based on the provided text, the DakoCytomation Beta-2-Microglobulin Kit is clearly an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

For in vitro diagnostic use.

DakoCytomation Beta-2-Microglobulin Kit is intended for the quantitative determination of beta-2-microglobulin in human serum and plasma by rate nephelometry on IMMAGE® Immunochemistry Systems. Measurement of beta-2-microglobulin aids in the diagnosis of patients with active rheumatoid arthritis and kidney disease.

Product codes (comma separated list FDA assigned to the subject device)

JZG

Device Description

DakoCytomation Beta-2-Microglobulin Kit is an in vitro diagnostic assay device for the quantitative determination of human beta-2-microglobulin. Beta-2-microglobulin (B2M), a low molecular weight polypeptide of 11,800 daltons, is the light chain component of the major histocompatibility antigen (HLA). B2M is present on the membrane surface of all cells that express major histocompatibility antigens and it is normally present in the circulation as a result of cell membrane turnover.
The Beta-2-Microglobulin device is similar in design, materials and intended use to other 510(k) cleared devices, which are in commercial distribution.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

IMx B2 Microglobulin - K890421

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 866.5630

Beta -2-microglobulin immunological test system.(a)
Identification. Abeta -2-microglobulin immunological test system is a device that consists of the reagents used to measure by immunochemical techniquesbeta -2-microglobulin (a protein molecule) in serum, urine, and other body fluids. Measurement ofbeta -2-microglobulin aids in the diagnosis of active rheumatoid arthritis and kidney disease.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 866.9.

0

  • 1 510(k) Summary
    November 25, 2003 Date of Summary Preparation: Ms. Gitte Brinkmann 1.2 Submitter:

DakoCytomation Denmark A/S. Produktionsvej 42 DK-2600 Glostrup Denmark

  • DakoCytomation Beta-2-Microglobulin Kit. 1.3 Trade Name:
  • Classification Name, Product Code, Class, Classification Reference: 1.4
Classification NameProduct CodeClass21CFR §
System, Test, Beta-2-
Microglobulin ImmunologicalJZGII866.5630

Standards/Special Controls: 1.5

None

Indications for Use: 1.6

For in vitro diagnostic use.

DakoCytomation Beta-2-Microglobulin Kit is intended for the quantitative determination of beta-2-microglobulin in human serum and plasma by rate nephelometry on IMMAGE® Immunochemistry Systems. Measurement of beta-2-microglobulin aids in the diagnosis of patients with active rheumatoid arthritis and kidney disease.

1.7 Device Description:

DakoCytomation Beta-2-Microglobulin Kit is an in vitro diagnostic assay device for the quantitative determination of human beta-2-microglobulin. Beta-2-microglobulin (B2M), a low molecular weight polypeptide of 11,800 daltons, is the light chain component of the major histocompatibility antigen (HLA). B2M is present on the membrane surface of all cells that express major histocompatibility antigens and it is normally present in the circulation as a result of cell membrane turnover.

The Beta-2-Microglobulin device is similar in design, materials and intended use to other 510(k) cleared devices, which are in commercial distribution.

1


Substantially Equivalent Commercially Available Devices: 1.8

The Beta-2-Microglobulin device is substantially equivalent to the predicate device described herein with respect to indications for use, device design, materials, and method of manufacture: IMx B2 Microglobulin - K890421

The predicate device is commercially available and a marketed Class II device indicated for use for the quantitative measurement of beta-2-microglobulin in human serum, plasma or urine.

Substantial Equivalence Comparison: 1.9

Beta-2-Microglobulin is similar to commercially available device with respect to intended use, material, design and operational principles as follows:

Similarities
FeatureNew device
DakoCytomation Beta-2-
Microglobulin KitPredicate device
IMx B2 Microglobulin
Intended UseQuantitative determination
of beta-2-microglobulin in
human serum and plasma
by rate nephelometry on
IMMAGE®
Immunochemistry
Systems. Measurement
of beta-2-microglobulin
aids in the diagnosis of
patients with active
rheumatoid arthritis and
kidney disease.Quantitative measurement
of beta-2-microglobulin in
human serum, plasma or
urine to be used as an aid
in the management of
patients with renal
dysfunction or rheumatoid
arthritis
Sample TypeSerum, plasmaSerum, plasma, urine

| able

T
-------------

2

| Feature | New device
DakoCytomation Beta-2-
Microglobulin Kit | Predicate device
IMx B2 Microglobulin |
|-------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Interfering Substances | Hemoglobin
concentrations up to 1000
mg/dL, bilirubin
(conjugated) up to 60
mg/dL and triglyceride up
to 1500 mg/dL do not
significantly interfere with
the assay.
No significant interference
is defined as recovery
within $\pm$ 10% at β2M > 6
mg/L or within $\pm$ 0.6 mg/L
at β2M ≤ 6 mg/L. | Hemoglobin
concentrations up to 1000
mg/dL, bilirubin
(conjugated) up to 41.9
mg/dL and triglyceride up
to 1023 mg/dL do not
significantly interfere with
the assay |
| Specificity | b-2-microglobulin | b-2-microglobulin |
| Reagents/Calibrators/Controls | Liquid stable | Liquid stable |

| Feature | DakoCytomation Beta-2-
Microglobulin Kit | IMx B2 Microglobulin |
|----------------------------------|---------------------------------------------|-----------------------------|
| Instrument Required | Beckman Coulter IMMAGE | Abbott IMx |
| Antibody | Polyclonal | Monoclonal |
| Sample type | Serum, plasma | Serum , plasma and urine |
| Reaction Test Principle | Nephelometry | MEIA |
| Assay Type | Homogenous Immunoassay | Heterogenous
Immunoassay |
| Lower Detection Limit
(Serum) | 0.3 mg/L | 0.05 mg/L |
| Assay Range (Serum) | 0.3 to 20 mg/L | 0 to 40 mg/L |

Indications and Contraindications:

Relative indications and contraindications for DakoCytomation Beta-2-Microglobulin Kit and commercially available devices for similar intended uses are the same.

Conclusion: 1.11

In accordance with the Federal Food, Drug and Cosmetic Act and 21 CFR Part 807, and based on the information provided in this pre-market notification, DakoCytomation concludes that the new device, DakoCytomation Beta-2-Microglobulin Kit, is safe, effective and substantially equivalent to the predicate device as described herein.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three lines forming its body and wings. The eagle is facing to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the eagle.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JAN 2 2 2004

Ms. Gitte Brinkmann QA Professional DakoCytomation Denmark A/S Produktionsvej 42 DK-2600Glostrup Denmark CVR N0. 33 21 13 17

K032692 Re:

Trade/Device Name: DakoCytomation Beta-2-Microglobulin Kit Regulation Number: 21 CFR 866.5630 Regulation Name: Beta-2-microglobulin immunological test system Regulatory Class: Class II Product Code: JZG Dated: November 25, 2003 Received: November 28, 2003

Dear Ms. Brinkmann:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Parts 801 and 809); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

4

Page 2

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific information about the application of labeling requirements to your device. or questions on the promotion and advertising of your device, please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 594-3084. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Aven Autman, m.D.

Steven I. Gutman, M.D., M.B.A. Director Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

5

510(k) Number: K032692

Statement of Indication for Use

Device Name: DakoCytomation Beta-2-Microglobulin Kit

Indications for Use:

:

For in vitro diagnostic use.

DakoCytomation Beta-2-Microglobulin Kit is intended for the quantitative determination of beta-2-microglobulin in human serum and plasma by rate nephelometry on IMMAGE® Immunochemistry Systems. Measurement of beta-2-microglobulin aids in the diagnosis of patients with active rheumatoid arthritis and kidney disease.

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED

Concurrence of CDRH, Office of Device Evaluation (ODE)

A. Reeves

sion Sign-O Division of Clinical Laboratory Devices

510(k) Number k 0 3 26 62

Prescription Use V

OR

Over-The-Counter Use ___

.